脑出血术后应用机械通气的疗效观察

Efficacy Observation of Mechanic Ventilation after Cerebral Hemorrhage

目的探讨脑出血患者术后应用机械通气的治疗效果。方法将38例脑出血术后患者随机分成两组:A组术后使用机械通气(19例);B组术后予以吸氧而未使用机械通气(19例)。进行两组间呼吸监测指标(PaO2、PaCO2、SaO2)、机械通气前后呼吸监测指标以及预后的对比分析。结果A组机械通气后PaO2、PaCO2、SaO2等指标较B组有明显改善,使用机械通气前后各呼吸监测指标差异亦有统计学意义(P<0.05)。6个月后按GOS预后判断,A组生存质量优于B组(P<0.05)。结论机械通气能改善脑出血术后患者的预后转归。

Objective To explore the therapeutic efficacy of mechanical ventilation on patients with cerebral hemorrhage after operation. Methods 38 cases with cerebral hemorrhage were randomly divided into two groups：Group A patients with mechanical ventilation （19 cases） ; Group B patients without mechanical ventilation besides oxygen inspiration. （19 cases）. An.dysis was carried out between the two groups about their respiratory monitoring indicators（ PaO2 , PaCO2 , SaO2 ） before and after mechanical ventilation and prognosis. Results Indexes in group A is better than that of group B after ventilation. There is also great statistic difference in the respiratory monitoring indicators before and after mechanical ventilation. The quality of life in group A is better than that of group B based on prognostic judgement 6 months later by GOS. （P 〈0. 05 ）. Conclusion Mechanical ventilation can improve cerebral hemorrhage prognosis of patients after operation.